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NPI Code Detail

MEDICARE: NASMIR KENJAR

MEDICARE: NASMIR KENJAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriverMO

General Provider Information

NPI Number : 1427984954
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASMIR KENJAR
Provider Business Mailing Address
First Line : 5559 CHAUVEAU DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-2319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5559 CHAUVEAU DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-2319
Country : US
Telephone Number : 314-484-2756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ NASMIR KENJAR ” Practice Location

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